Healthcare Provider Details

I. General information

NPI: 1184991622
Provider Name (Legal Business Name): SWAPNA J PATEL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W 7TH ST STE 200
PLAINFIELD NJ
07060-1629
US

IV. Provider business mailing address

122 BEVERLY HILLS TER APT F
WOODBRIDGE NJ
07095-4052
US

V. Phone/Fax

Practice location:
  • Phone: 908-834-2575
  • Fax:
Mailing address:
  • Phone: 732-983-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number027768-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: